HELMS Framework

Given Given Login into "Salesforce" as "Admin"

Logged in to Salesforce with user :: Admin

passed

And And Navigate to "Accounts" tab

passed

And And From the available list views, Select the "All Accounts" list view

Selected list view :: All Accounts

passed

And And Click on "Automation Test" Hyperlink

passed

And And Click on "Details" Hyperlink

passed

And And Click on "Edit" button

clicked on the button :: Edit

passed

And And Validate the pickist values of "Gender" field :

Values

Female

Male

prefer not to disclose

X

passed

And And Click on "Cancel" button

clicked on the button :: Cancel

passed

And And Click on "Show more actions" button

clicked on the button :: Show more actions

passed

And And Click on "Show more actions" button

clicked on the button :: Show more actions

passed

And And Click on "Log in to Experience as User" Hyperlink

passed

And And Verify user has navigated to "Welcome to State of Washington HELMS" page

passed

And And Click on "Start A New Application" button

clicked on the button :: Start A New Application

passed

And And Verify user has navigated to "Select License" page

passed

And And Fill the below details :

Field Name	Data Type	Value
Program	Dropdown	Podiatric Physician and Surgeon
Professions	Dropdown	Podiatric Physician and Surgeon
Podiatric Physician And Surgeon Limited License	Checkbox	True

Filled mandatory fields

passed

And And Click on "Next" button

clicked on the button :: Next

passed

And And Verify user has navigated to "Pre-requisite Information" page

passed

And And Verify "Pre-requisite Information" information of "Podiatric Physician and Surgeon" intake flow

passed

And And Click on "Continue" button

clicked on the button :: Continue

passed

And And Verify user has navigated to "Demographic Information" page

passed

And And Answer "Yes" to this question "Have you ever been known under any other names? Will this application contain documents with your different name?"

passed

And And Verify the "presence" of below "fields":

Field Name

Alternate Names:

passed

And And Fill the below details :

Field Name	Data Type	Value
Alternate Names:	Text	test Alternate

Filled mandatory fields

passed

And And Check the status of "Mailing Address if different than above:" checkbox and make it "Unchecked"

passed

And And Verify the "Absence" of below fields in "Mailing Address if different than above:" section

Field Name	Data Type
Street	Text
City	Text
Country	Dropdown
State	Dropdown
Zip Code	Text
County	Text

passed

And And Check the status of "Mailing Address if different than above:" checkbox and make it "checked"

passed

And And Verify the "presence" of below fields in "Mailing Address if different than above:" section

Field Name	Data Type
Street	Text
City	Text
Country	Dropdown
State	Dropdown
Zip Code	Text
County	Text

passed

And And Fill the below details of "Mailing Address if different than above:" section :

Field Name	Data Type	Value
Country	Dropdown	United States

passed

And And Verify the "presence" of below fields in "Mailing Address if different than above:" section

Field Name	Data Type
State	Dropdown

passed

And And Fill the below details of "Mailing Address if different than above:" section :

Field Name	Data Type	Value
Country	Dropdown	Afghanistan

passed

And And Verify the "presence" of below fields in "Mailing Address if different than above:" section

Field Name	Data Type
State	Text

passed

And And Click on "Save & Next" button of "Demographic Information" page

passed

And And Verify user has navigated to "Personal Data Questions" page

passed

And And Click on "Save & Next" button of "Personal Data Questions" page

passed

And And Validate multiple error messages:

Error Message

Error: 1. Do you have a medical condition which in any way impairs or limits your ability to practice your profession with reasonable skill and safety? is required.

Error: 2. Do you currently use chemical substance(s) in any way which impair or limit your ability to practice your profession with reasonable skill and safety? is required.

Error: 3. Have you ever been diagnosed with, or treated for, pedophilia, exhibitionism, voyeurism or frotteurism? is required.

Error: 4. Are you currently engaged in the illegal use of controlled substances? is required.

Error: 5. Have you ever been convicted, entered a plea of guilty, no contest, or a similar plea, or had prosecution or a sentence deferred or suspended as an adult or juvenile in any state or jurisdiction? is required.

Error: 6a. Possessed, used, prescribed for use, or distributed Controlled Substances or Legend drugs in any way other than for legitimate or therapeutic purposes? is required.

Error: 6b. Diverted controlled substances or legend drugs? is required.

Error: 6c. Violated any drug law? is required.

Error: 6d. Prescribed controlled substances for yourself? is required.

Error: 7. Have you ever been found in any proceeding to have violated any state or federal law or rule regulating the practice of a healthcare profession? is required.

Error: 8. Have you ever had any license, certificate, registration or other privilege to practice a healthcare profession denied, revoked, suspended, or restricted by a state, federal, or foreign authority? is required.

Error: 9. Have you ever surrendered a credential like those listed in number 8, in connection with or to avoid action by a state, federal, or foreign authority? is required.

Error: 10. Have you ever been named in any civil suit or suffered any civil judgement for incompetence, negligence, or malpractice in connection with the practice of the healthcare profession? is required.

Error: 11. Have you had hospital privileges, medical society, other professional society or organization membership revoked, suspended, restricted or denied? is required.

Error: 12. Have you ever been the subject of any informal or formal disciplinary action related to the practice of medicine? is required.

Error: 13. To the best of your knowledge, are you the subject of an investigation by any licensing board as to the date of this application? is required.

Error: 14. Have you ever agreed to restrict, surrender, or resign your practice in lieu of or to avoid adverse action? is required.

Error: 15. Have you ever been disqualified from working with vulnerable persons by the Department of Social and Health Services (DSHS)? is required.

passed

And And Verify Help Text on PDQ Page

passed

And And Answer "Yes" to this question "1. Do you have a medical condition which in any way impairs or limits your ability to practice your profession with reasonable skill and safety?"

passed

And And Fill the below details :

Field Name	Data Type	Value
1a. Please explain medical condition.	Textarea	test medical condition
1b. Please explain how your treatment has reduced or eliminated the limitations caused by your medical condition.	Textarea	Test reduced limitations
1c. Please explain how your field of practice, the setting or manner of practice has reduced or eliminated the limitations caused by your medical condition.	Textarea	test manner of practice

Filled mandatory fields

passed

And And Answer "Yes" to this question "2. Do you currently use chemical substance(s) in any way which impair or limit your ability to practice your profession with reasonable skill and safety?"

passed

And And Fill the below details :

Field Name	Data Type	Value
2a. Chemical Substance Explanation	Textarea	test Chemical Substance

Filled mandatory fields

passed

And And Answer "Yes" to this question "3. Have you ever been diagnosed with, or treated for, pedophilia, exhibitionism, voyeurism or frotteurism?"

passed

And And Fill the below details :

Field Name	Data Type	Value
3a. Diagnosis Explanation	Textarea	Test Diagnosis Explanation

Filled mandatory fields

passed

And And Answer "Yes" to this question "4. Are you currently engaged in the illegal use of controlled substances?"

passed

And And Verify help text of "4. Are you currently engaged in the illegal use of controlled substances?" question in PDQ page

passed

And And Fill the below details :

Field Name	Data Type	Value
4a. Controlled Substances Explanation	Textarea	Test illegal issue

Filled mandatory fields

passed

And And Verify the "presence" of bold text

Bold Text

Note: If you answer 'yes' to any of the remaining questions, provide an explanation and certified copies of all judgements, decisions, orders agreements and surrenders. The department does criminal checks on all applicants.

passed

And And Answer "Yes" to this question "5. Have you ever been convicted, entered a plea of guilty, no contest, or a similar plea, or had prosecution or a sentence deferred or suspended as an adult or juvenile in any state or jurisdiction?"

passed

And And Fill the below details :

Field Name	Data Type	Value
5a. Conviction Explanation	Textarea	Test Conviction Explanation

Filled mandatory fields

passed

And And Verify the "presence" of bold text

Bold Text

Note: Since you answered 'yes' to question 5, you must send certified copies of all court documents related to your criminal history with your application. If you do not provide the documents, your application is incomplete and will not be considered. If you have been granted certificate(s) of restoration of opportunity, please provide a certified copy of each certificate.

To protect the public, the department considers criminal history. A criminal history may not automatically bar you from obtaining a credential. However, failure to report criminal history may result in extra cost to you and the application may be delayed or denied. You will have the ability to upload documents on the supporting documentation step in this application.

passed

And And Answer "Yes" to this question "6a. Possessed, used, prescribed for use, or distributed Controlled Substances or Legend drugs in any way other than for legitimate or therapeutic purposes?"

passed

And And Fill the below details :

Field Name	Data Type	Value
6a. Controlled Substance Legal Explanation	Textarea	Test Controlled Substances Explanation

Filled mandatory fields

passed

And And Answer "Yes" to this question "6b. Diverted controlled substances or legend drugs?"

passed

And And Fill the below details :

Field Name	Data Type	Value
6b. Criminal Proceedings Explanation	Textarea	Test Criminal Proceedings

Filled mandatory fields

passed

And And Answer "Yes" to this question "6c. Violated any drug law?"

passed

And And Fill the below details :

Field Name	Data Type	Value
6c. Drug Law Violations Explanation	Textarea	Test Drug Law

Filled mandatory fields

passed

And And Answer "Yes" to this question "6d. Prescribed controlled substances for yourself?"

passed

And And Fill the below details :

Field Name	Data Type	Value
6d. Self Prescribed Controlled Substance Explanation	Textarea	Test Self Prescribed

Filled mandatory fields

passed

And And Answer "Yes" to this question "7. Have you ever been found in any proceeding to have violated any state or federal law or rule regulating the practice of a healthcare profession?"

passed

And And Fill the below details :

Field Name	Data Type	Value
7a. Violation of State or Federal Law Explanation	Textarea	Test Violation of state

Filled mandatory fields

passed

And And Answer "Yes" to this question "8. Have you ever had any license, certificate, registration or other privilege to practice a healthcare profession denied, revoked, suspended, or restricted by a state, federal, or foreign authority?"

passed

And And Fill the below details :

Field Name	Data Type	Value
8a. License, Certificate, Registration Issue Explanation	Textarea	Test License Certificate

Filled mandatory fields

passed

And And Answer "Yes" to this question "9. Have you ever surrendered a credential like those listed in number 8, in connection with or to avoid action by a state, federal, or foreign authority?"

passed

And And Fill the below details :

Field Name	Data Type	Value
9a. Surrender Explanation	Textarea	Test surreender explanation

Filled mandatory fields

passed

And And Answer "Yes" to this question "10. Have you ever been named in any civil suit or suffered any civil judgement for incompetence, negligence, or malpractice in connection with the practice of the healthcare profession?"

passed

And And Fill the below details :

Field Name	Data Type	Value
10a. Civil Judgement Explanation	Textarea	Test Civil Judgement

Filled mandatory fields

passed

And And Answer "Yes" to this question "11. Have you had hospital privileges, medical society, other professional society or organization membership revoked, suspended, restricted or denied?"

passed

And And Fill the below details :

Field Name	Data Type	Value
11a. Please explain	Textarea	Test 11Vulnerable persons

Filled mandatory fields

passed

And And Answer "Yes" to this question "12. Have you ever been the subject of any informal or formal disciplinary action related to the practice of medicine?"

passed

And And Fill the below details :

Field Name	Data Type	Value
12a. Please explain	Textarea	Test 12person disqualification

Filled mandatory fields

passed

And And Answer "Yes" to this question "13. To the best of your knowledge, are you the subject of an investigation by any licensing board as to the date of this application?"

passed

And And Fill the below details :

Field Name	Data Type	Value
13a. Please explain	Textarea	Test 13 person disqualification

Filled mandatory fields

passed

And And Answer "Yes" to this question "14. Have you ever agreed to restrict, surrender, or resign your practice in lieu of or to avoid adverse action?"

passed

And And Fill the below details :

Field Name	Data Type	Value
14a. Please explain	Textarea	Test 14 person disqualification

Filled mandatory fields

passed

And And Answer "Yes" to this question "15. Have you ever been disqualified from working with vulnerable persons by the Department of Social and Health Services (DSHS)?"

passed

And And Fill the below details :

Field Name	Data Type	Value
15a. Vulnerable Persons Disqualification Explanation	Textarea	Test 15 person disqualification

Filled mandatory fields

passed

And And Click on "Save & Next" button of "Personal Data Questions" page

passed

And And Verify user has navigated to "National Provider Identifier Number" page

passed

And And Fill the below details :

Field Name	Data Type	Value
1. Enter your National Provider Identifier (NPI) Number if available.	Text	123456

Filled mandatory fields

passed

And And Click on "Save & Next" button of "National Provider Identifier Number" page

passed

And And Verify the "presence" of error message :

Error Message

NPI is 10 digits.

passed

And And Fill the below details :

Field Name	Data Type	Value
1. Enter your National Provider Identifier (NPI) Number if available.	Text	1234567890

Filled mandatory fields

passed

And And Click on "Save & Next" button of "National Provider Identifier Number" page

passed

And And Verify the "Absence" of error message :

Error Message

NPI is 10 digits.

passed

And And Verify user has navigated to "Military Related Questions" page

passed

And And Select "No" for this question "Are you the spouse or registered domestic partner of military personnel?"

passed

And And Verify absence of text on Military Spouse or Registered Domestic Partner of Military Personnel page

passed

And And Select "Yes" for this question "Are you the spouse or registered domestic partner of military personnel?"

passed

And And Verify the text on "Military Related Questions" page of "Social Worker Associate Advanced License" intake flow

passed

And And Click on "Save & Next" button of "Military Related Questions" page

passed

And And Verify user has navigated to "Other License, Certification or Registration" page

passed

And And Answer "No" to this question "Do you have healthcare provider credentials from any other state or jurisdiction?"

passed

And And Verify the "Absence" of below "link":

Link

Add

passed

And And Answer "Yes" to this question "Do you have healthcare provider credentials from any other state or jurisdiction?"

passed

And And Create new "Other License, Certification or Registration"

passed

And And Click on "Save & Next" button of "Other License, Certification or Registration" page

passed

And And Verify user has navigated to "Other License, Certification or Registration" page

passed

And And Verify the "presence" of error message :

Error Message

Please add at least one other license, certificate or registration

passed

And And Verify the "presence" of below "link":

Link

Add

passed

And And Click on "Add" Hyperlink

passed

And And Click on "SUBMIT" button of "Other License, Certification or Registration" page

passed

And And Validate multiple error messages:

Error Message

Error: Country is required.

passed

And And Fill the below details :

Field Name	Data Type	Value
Country	Dropdown	United States

Filled mandatory fields

passed

And And Click on "SUBMIT" button of "Other License, Certification or Registration" page

passed

And And Validate multiple error messages:

Error Message

Error: State or Province is required.

Error: Profession is required.

Error: Credential Type is required.

Error: Credential Number is required.

Error: Issue Date is required.

Error: Expiration Date is required.

Error: Is this credential currently in an active status? is required.

Error: How did you receive this credential? is required.

passed

And And Fill the below details :

Field Name	Data Type	Value
How did you receive this credential?	Dropdown	Grandparented
State or Province	Dropdown	Alabama
Profession	Text	Test Doctor
Credential Type	Dropdown	Temporary
Credential Number	Text	12345678
Issue Date	Date	Today - 100
Expiration Date	Date	Today - 0

Filled mandatory fields

passed

And And Answer "Yes" to this question "Is this credential currently in an active status?"

passed

And And Click on "SUBMIT" button of "Other License, Certification or Registration" page

passed

And And Click on "Edit" Hyperlink

passed

And And Fill the below details :

Field Name	Data Type	Value
Credential Number	Text	23456789

Filled mandatory fields

passed

And And Click on "SUBMIT" button of "Other License, Certification or Registration" page

passed

And And Verify the values of below fields

Field Name	Value
Credential Number	23456789

Validated the values of fields

passed

And And Click on "Add" Hyperlink

passed

And And Fill the below details :

Field Name	Data Type	Value
Country	Dropdown	United States
How did you receive this credential?	Dropdown	Grandparented
State or Province	Dropdown	Alabama
Profession	Text	Test Doctor
Credential Type	Dropdown	Temporary
Credential Number	Text	12345678
Issue Date	Date	Today - 100
Expiration Date	Date	Today - 0

Filled mandatory fields

passed

And And Answer "Yes" to this question "Is this credential currently in an active status?"

passed

And And Click on "SUBMIT" button of "Other License, Certification or Registration" page

passed

And And Wait for "5" seconds

passed

And And Create new "Other License, Certification or Registration"

passed

And And Click on "Add" Hyperlink

passed

And And Fill the below details :

Field Name	Data Type	Value
Country	Dropdown	United States
How did you receive this credential?	Dropdown	Grandparented
State or Province	Dropdown	Alabama
Profession	Text	Test Doctor
Credential Type	Dropdown	Temporary
Credential Number	Text	12345678
Issue Date	Date	Today - 100
Expiration Date	Date	Today - 0

Filled mandatory fields

passed

And And Answer "Yes" to this question "Is this credential currently in an active status?"

passed

And And Click on "SUBMIT" button of "Other License, Certification or Registration" page

passed

And And Click on "Save & Next" button of "Other License, Certification or Registration" page

passed

And And Verify user has navigated to "Method of Licensure" page

passed

And And Click on "Save & Next" button of "Method of Licensure" page

passed

And And Validate multiple error messages:

Error Message

Error: Select one: is required.

passed

And And Answer "None of the above apply to me." to this question "Select one:"

passed

And And Verify the text on "Method of Licensure" page of "Podiatric Physician And Surgeon License" intake flow

passed

And And Answer "I am working towards completing at least a one year postgraduate podiatric medical training program in Washington State." to this question "Select one:"

passed

And And Click on "Save & Next" button of "Method of Licensure" page

passed

And And Verify user has navigated to "Postgraduate Training" page

passed

And And Verify the "presence" of below "text" having breaks:

Text

After you submit your application, you’ll be able to print the

Podiatric Postgraduate Training Investigative Letter

Once printed, provide to the Program Director of your postgraduate program. Ask them to complete the form and return to the Department of Health.

passed

And And Click on "Add" Hyperlink

passed

And And Click on "SUBMIT" button of "Post Graduate Training" page

passed

And And Validate multiple error messages:

Error Message

Error: Post Graduate Training Program Name is required.

Error: Specialty is required.

Error: Start Date is required.

Error: End Date is required.

passed

And And Fill the below details :

Field Name	Data Type	Value
Post Graduate Training Program Name	Text	Test Program
Specialty	Text	Test Specialty
Start Date	Date	Today - 50
End Date	Date	Today - 0
Current	Checkbox	True

Filled mandatory fields

passed

And And Verify the "absence" of below "fields":

Field Name

End Date

passed

And And Click on "SUBMIT" button of "Post Graduate Training" page

passed

And And Click on "Save & Next" button of "Postgraduate Training" page

passed

And And Verify user has navigated to "Postgraduate Training Verification Letter" page

passed

And And Verify the text on "Postgraduate Training Verification Letter" page of "Podiatric Physician And Surgeon Limited License" intake flow

passed

And And Click on "Next" button of "Postgraduate Training Verification Letter" page

passed

And And Verify user has navigated to "Supporting Documentation" page

passed

And And Verify the "presence" of below "text":

Text

Based on your responses the following documentation is needed to support your applications review. If you do not have these listed documents currently you can submit the application and return to this page to upload the documents. Please note that once you upload a document you cannot delete it. A review must occur first before a replacement document can be uploaded. This may delay the processing time of your application. Please double check the document is correct before uploading.

Are you the spouse or registered domestic partner of military personnel?

Other License, Certifications or Registrations

Have you ever been convicted, entered a plea of guilty, no contest, or a similar plea, or had prosecution or a sentence deferred or suspended as an adult or juvenile in any state or jurisdiction?

Have you ever been found in any proceeding to have violated any state or federal law or rule regulating the practice of a health care profession?

Please attach certified copies of all court documents related to your criminal history with your application.

Please attach copies of all judgements, decisions, and agreements.

passed

And And Verify the text on "Supporting Documentation" page of "Radiologic Technologist Certification" intake flow

passed

And And Click on "Save & Next" button of "Supporting Documentation" page

passed

And And Verify user has navigated to "Additional Information" page

passed

And And Verify the "presence" of below "text":

Text

Postgraduate Training Investigative Letter

Limited License Postgraduate Training Verification Letter

Additional Information

passed

And And Verify the text on Additional Information Page of "Podiatric Physician And Surgeon Limited License"

passed

And And Click on "Next" button of "Additional Information" page

passed

And And Click on "Save & Next" button of "Attestation" page

passed

And And Verify the "presence" of error message :

Error Message

Please check the checkbox.

passed

And And Fill the below details :

Field Name	Data Type	Value
I agree.	Checkbox	true

Filled mandatory fields

passed

And And Verify the "presence" of below "text":

Text

I understand the Department of Health may require more information before deciding on my application. The department may independently check conviction records with state or federal databases.

I authorize the release of any files or records the department requires to process this application. This includes information from all hospitals, educational or other organizations, my references, and past and present employers and business and professional associates. It also includes information from federal, state, local or foreign government agencies.

I understand I must inform the department of any past, current or future criminal charges or convictions. I will also inform the department of any physical or mental conditions that jeopardize my ability to provide quality health care. If requested, I will authorize my health providers to release to the department information on my health, including mental health and any substance abuse treatment.

passed

And And Verify the text on Attestation page

passed

And And Click on "Save & Next" button of "Attestation" page

passed

And And Verify user has navigated to "Review" page

passed

And And Verify the details in Review Page

Field Name

1. Do you have a medical condition which in any way impairs or limits your ability to practice your profession with reasonable skill and safety?

2. Do you currently use chemical substance(s) in any way which impair or limit your ability to practice your profession with reasonable skill and safety?

3. Have you ever been diagnosed with, or treated for, pedophilia, exhibitionism, voyeurism or frotteurism?

4. Are you currently engaged in the illegal use of controlled substances?

5. Have you ever been convicted, entered a plea of guilty, no contest, or a similar plea, or had prosecution or a sentence deferred or suspended as an adult or juvenile in any state or jurisdiction?

6a. Possessed, used, prescribed for use, or distributed Controlled Substances or Legend drugs in any way other than for legitimate or therapeutic purposes?

6b. Diverted controlled substances or legend drugs?

6c. Violated any drug law?

6d. Prescribed controlled substances for yourself?

7. Have you ever been found in any proceeding to have violated any state or federal law or rule regulating the practice of a healthcare profession?

8. Have you ever had any license, certificate, registration or other privilege to practice a healthcare profession denied, revoked, suspended, or restricted by a state, federal, or foreign authority?

9. Have you ever surrendered a credential like those listed in number 8, in connection with or to avoid action by a state, federal, or foreign authority?

10. Have you ever been named in any civil suit or suffered any civil judgement for incompetence, negligence, or malpractice in connection with the practice of the healthcare profession?

11. Have you had hospital privileges, medical society, other professional society or organization membership revoked, suspended, restricted or denied?

12. Have you ever been the subject of any informal or formal disciplinary action related to the practice of medicine?

13. To the best of your knowledge, are you the subject of an investigation by any licensing board as to the date of this application?

14. Have you ever agreed to restrict, surrender, or resign your practice in lieu of or to avoid adverse action?

15. Have you ever been disqualified from working with vulnerable persons by the Department of Social and Health Services (DSHS)?

1. Enter your National Provider Identifier (NPI) Number if available.

Are you the spouse or registered domestic partner of military personnel?

passed

And And Store the saved values on Review Page

Field Name

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Social Security Number

Gender

Street

City

Country

State

Zip Code

County

Phone Number

Cell Number

Email Address

Expiration Date

Issue Date

passed

And And Verify presence of "Edit" button of "Demographic Information" section in review

passed

And And Verify presence of "Edit" button of "Personal Data Questions" section in review

passed

And And Verify presence of "Edit" button of "National Provider Identifier Number" section in review

passed

And And Verify presence of "Edit" button of "Military Related Questions" section in review

passed

And And Verify presence of "Edit" button of "Other License, Certification or Registration" section in review

passed

And And Verify presence of "Edit" button of "Method of Licensure" section in review

passed

And And Verify presence of "Edit" button of "Postgraduate Training" section in review

passed

And And Verify presence of "Edit" button of "Supporting Documentation" section in review

passed

And And Verify presence of "Edit" button of "Attestation" section in review

passed

And And Click on "Save & Next" button of "Review" page

passed

And And Verify user has navigated to "Payment" page

passed

And And Validate "Application Fee" fee is "$400.00" for "Podiatric Physician And Surgeon Limited License" Intake flow

passed

And And Verify the "presence" of below "text":

Text

There is a $2.50 convenience fee required to use the online service when paying by credit card/debit card. The amount will be charged in addition to your fee(s). There is no additional convenience fee for ACH payments.

Fees submitted with applications for initial credentialing, examinations, renewal and other fees associated with the licensing and regulation of the profession are nonrefundable.

passed

And And Verify the "presence" of below "link":

Link

WAC 246-12-340.

passed

And And Click on "Pay & Submit" button of "Payment" page

passed

And And Click on "SUBMIT" button of "Confirmation" page

passed

And And Click on "Submit Payment" button

clicked on the button :: Submit Payment

passed

And And Get Application Id from the URL

passed

And And Navigate to Application URL

passed

And And Click on "Related" Hyperlink

passed

And And Click on hyperlink that contains "IA-"

passed

And And Click on "Application Form" Hyperlink

passed

And And Verify the values of below fields in Backend

Field Name

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Social Security Number

Gender

Street

City

Country

State

Zip Code

County

Phone Number

Cell Number

Email Address

1. Do you have a medical condition which in any way impairs or limits your ability to practice your profession with reasonable skill and safety?

1a. Please explain medical condition.

1b. Please explain how your treatment has reduced or eliminated the limitations caused by your medical condition.

1c. Please explain how your field of practice, the setting or manner of practice has reduced or eliminated the limitations caused by your medical condition.

2. Do you currently use chemical substance(s) in any way which impair or limit your ability to practice your profession with reasonable skill and safety?

2a. Chemical Substance Explanation

3. Have you ever been diagnosed with, or treated for, pedophilia, exhibitionism, voyeurism or frotteurism?

3a. Diagnosis Explanation

4. Are you currently engaged in the illegal use of controlled substances?

4a. Controlled Substances Explanation

5. Have you ever been convicted, entered a plea of guilty, no contest, or a similar plea, or had prosecution or a sentence deferred or suspended as an adult or juvenile in any state or jurisdiction?

5a. Conviction Explanation

6a. Possessed, used, prescribed for use, or distributed Controlled Substances or Legend drugs in any way other than for legitimate or therapeutic purposes?

6a. Controlled Substance Legal Explanation

6b. Diverted controlled substances or legend drugs?

6b. Criminal Proceedings Explanation

6c. Violated any drug law?

6d. Prescribed controlled substances for yourself?

6d. Self Prescribed Controlled Substance Explanation

7. Have you ever been found in any proceeding to have violated any state or federal law or rule regulating the practice of a healthcare profession?

7a. Violation of State or Federal Law Explanation

8. Have you ever had any license, certificate, registration or other privilege to practice a healthcare profession denied, revoked, suspended, or restricted by a state, federal, or foreign authority?

8a. License, Certificate, Registration Issue Explanation

9. Have you ever surrendered a credential like those listed in number 8, in connection with or to avoid action by a state, federal, or foreign authority?

9a. Surrender Explanation

10. Have you ever been named in any civil suit or suffered any civil judgement for incompetence, negligence, or malpractice in connection with the practice of the healthcare profession?

10a. Civil Judgement Explanation

1. Enter your National Provider Identifier (NPI) Number if available.

Are you the spouse or registered domestic partner of military personnel?

State or Province

Profession

Credential Type

Credential Number

Issue Date

Expiration Date

Is this credential currently in an active status?

How did you receive this credential?

passed

And And Logout of the salesforce application

Logout of the application

passed

Name	Value
User Name	prince.gupta_mtxb2b
Time Zone	Asia/Calcutta
Machine	Windows 10 - 64 Bit
Selenium	3.7.0
Maven	3.6.3
Java Version	1.8.0_151

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